Surgical repair of traumatic hand injuries — including tendon, nerve and artery repair, nailbed injuries, and soft-tissue loss.

What is involved?

Hand trauma encompasses a wide range of injuries, from simple lacerations through to complex injuries involving multiple structures. Prompt and accurate diagnosis followed by appropriate surgical management is important for restoring function.

Common injuries managed include:

  • Tendon lacerations — flexor and extensor tendon repair
  • Nerve injuries — primary nerve repair or nerve grafting
  • Artery injuries — microsurgical artery repair to restore digital circulation
  • Nailbed injuries — repair to optimise nail growth and appearance
  • Tissue loss — reconstruction with local flaps, regional flaps or skin grafts

When is it indicated?

Any acute hand injury with concern for tendon, nerve or vascular involvement should be assessed urgently. Seemingly minor injuries can sometimes involve deeper structures, and early specialist review allows for the best functional outcomes.

Recovery

Recovery depends on the injury and structures repaired. Hand therapy is an essential part of recovery for most hand trauma — Dr Doherty works closely with experienced hand therapists to optimise return to function. Splinting, graded exercises and protected use of the hand are typical components of the rehabilitation plan.

Related: See our scar management guide for the post-operative healing timeline, the daily silicone-and-massage protocol, and when to be concerned about a scar.

All surgical procedures carry potential risks and complications, which will be discussed in detail at your consultation.

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Acute hand injury?

For acute injuries, present to your nearest emergency department. For non-acute referrals, see the referrer information below.

For Referrers